| NPI | 1154760841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN HALL Owner 973-831-2880 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| 163W00000X Registered Nurse | |
| 183500000X Pharmacist | |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2013-06-17 |